Individual
MON-SAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, LD
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 692-7045
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 692-7045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT90116
TX
133V00000X
Registered Dietitian
L005706
NC
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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